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From the 1/14/2022 release of VAERS data:

Found 498 cases where Vaccine is RV5 and Patient Died

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Case Details

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VAERS ID: 275775 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Tennessee  
Vaccinated:2007-03-22
Onset:2007-03-23
   Days after vaccination:1
Submitted: 2007-03-23
   Days after onset:0
Entered: 2007-04-09
   Days after submission:17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B84BA / 1 LL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1271F / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B0864H / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1033F / 1 MO / PO

Administered by: Public       Purchased by: Unknown
Symptoms: Autopsy, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-03-23
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: Had hole in lung at birth - NICU x 2 days on vent.
Allergies:
Diagnostic Lab Data: Autopsy pending
CDC Split Type: TN07007

Write-up: Immunizations given 3/22/07 approx 8:30am mom reported mild fever at MN 3/23/07 - gave infant Tylenol drops. Found infant dead in crib 3/23/07 at 7:30AM! 7/3/07 Received Autopsy Report which reveals COD as Undetermined & manner of Death as Undetermined. Final anatomic diagnoses were: clean & apparently well care for; no evidence of trauma or injury; lung & thymus petechiae; and focal mild acute bronchopneumonia of right lung.


VAERS ID: 276742 (history)  
Form: Version 1.0  
Age: 0.5  
Sex: Female  
Location: California  
Vaccinated:2007-04-13
Onset:2007-04-17
   Days after vaccination:4
Submitted: 2007-04-17
   Days after onset:0
Entered: 2007-04-18
   Days after submission:1
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C2570BA / 3 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B47442F / 3 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1237F / 3 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Death, Surgery, Truncus arteriosus persistent
SMQs:, Congenital, familial and genetic disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-04-17
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Captopril 0.75 mg/1ml 0.6ml TID, Lasix 10 mg/ml 0.4ml PO BID
Current Illness: No Known short term illness
Preexisting Conditions: Truncus Arteriosis, Intermittent bloody stools
Allergies:
Diagnostic Lab Data: Not Available
CDC Split Type:

Write-up: Truncus arteriosis S/P partial repair. On Lasix and Captopril, Being followed by GI, cardiology. 8/3/07 Received Autopsy Report which reveals COD as failure to thrive due to congenital heart disease, s/p correction of truncus arteriosus.


VAERS ID: 277269 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: Georgia  
Vaccinated:2007-04-16
Onset:2007-04-20
   Days after vaccination:4
Submitted: 2007-04-20
   Days after onset:0
Entered: 2007-04-24
   Days after submission:4
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR C268AA / 1 LL / IM
HBHEPB: HIB + HEP B (COMVAX) / MERCK & CO. INC. 0002U / 1 RL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z0548 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08679F / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0024U / 1 MO / PO

Administered by: Private       Purchased by: Private
Symptoms: Peripheral coldness, Sudden infant death syndrome, Unresponsive to stimuli
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Neonatal disorders (narrow), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-04-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: none
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: 4/20/07 Child received vaccinations at 2 mo visit on 4/16/07. On 4/20/07 around 1 am the mother breast fed baby and put her in the bed between parents. When parents awake at 7 am the baby was unresponsive and cold. Taken to hospital ER where they were unable to revive her. ? SIDS 4/27/07 Received medical records from PCP which reveal patient experienced good health on day of vax. Vax record confirmed RO lot number as reported on VAERS report. 7/11/07-ME report received. COD:Sudden Infant Death Syndrome while co-sleeping w/2 adults.


VAERS ID: 277313 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: North Carolina  
Vaccinated:2007-04-23
Onset:2007-04-24
   Days after vaccination:1
Submitted: 2007-04-24
   Days after onset:0
Entered: 2007-04-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (TRIPEDIA) / SANOFI PASTEUR U1985CA / 1 LL / IM
HEP: HEP B (RECOMBIVAX HB) / MERCK & CO. INC. 1106F / 2 RL / IM
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 1435F / 1 LL / IM
IPV: POLIO VIRUS, INACT. (IPOL) / SANOFI PASTEUR Z03252 / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08689E / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0980E / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-04-24
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: NA 9/11/07 Received Autopsy Report which states COD as probable suffocation secondary to being placed face down on top a large pillow in the bassinet & having significant livor & blanching of the head & face.


VAERS ID: 278301 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: Massachusetts  
Vaccinated:2007-04-27
Onset:2007-05-06
   Days after vaccination:9
Submitted: 2007-05-08
   Days after onset:2
Entered: 2007-05-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B090BA / 2 - / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF072AA / 1 - / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B036258E / 1 - / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 1034F / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Autopsy, Diarrhoea, Respiratory arrest, Unresponsive to stimuli
SMQs:, Anaphylactic reaction (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Pseudomembranous colitis (broad), Acute central respiratory depression (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (broad), Noninfectious diarrhoea (narrow), Respiratory failure (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-05-06
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: None
Preexisting Conditions: Milk, soy protein allergy, GERD, was on Nutramigen formula for reflux.
Allergies:
Diagnostic Lab Data: Autopsy pending --$g Medical examiner
CDC Split Type:

Write-up: Pt found in parents bed, face down, not breathing, unresponsive on 5/6/07 at 9am. Mom called office 5/4/07 pt had been having 1 episode diarrhea daily since 4/31/07. No vomiting, no fever, no other signs of illness. 5/15/07 Received vax records from provider which corrected Lot number of RO & & confirmed dose as number 1. VAERS database updated. 6/25/07 SIDS per Proof of Death letter from ME (reported cosleeping w/parents in adult bed, found face down in pillow). Manner of death undetermined.


VAERS ID: 278322 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: New York  
Vaccinated:2007-03-21
Onset:2007-04-19
   Days after vaccination:29
Submitted: 2007-05-08
   Days after onset:19
Entered: 2007-05-10
   Days after submission:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS 21B084BA / 1 RL / -
HIBV: HIB (PEDVAXHIB) / MERCK & CO. INC. 0155U / 1 RL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08681B / 1 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0285F / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Autopsy
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-04-19
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Reported to me by another PT on about 4/23/07 that patient had died and autopsy was consistent with SIDS. Parents have not returned our calls. 6/21/07 Received vax record from PCP which confirms RO lot & dose number as reported. 8/10/07 Received autopsy report which reveals COD as Undetermined & manner of death as undetermined. Final dx: infant w/age appropriate weight & development found unresponsive while co-sleeping in adult bed in prone sleeping position.


VAERS ID: 278873 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Female  
Location: California  
Vaccinated:2007-05-04
Onset:2007-05-05
   Days after vaccination:1
Submitted: 2007-05-17
   Days after onset:12
Entered: 2007-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B092BA / 1 RL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF091AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B58845D / 1 LL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0847F / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms: Death
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-05-05
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: No known illness
Preexisting Conditions: no known preexisting conditions
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Unsure of adverse events. Patient died on 5/5/07. 11/16/07 Received autopsy report which states COD as sudden infant death while co-sleeping and hippocampal dysplasia. Sleeping on parent''s chest in prone position and found unresponsive. Had been seen in ER 4/13/07 for apneic episodes. Autopsy also revealed mild laryngopharyngitis & recent history of cold symptoms. 5/29/08 Received vax record which confirms as reported.


VAERS ID: 279405 (history)  
Form: Version 1.0  
Age: 0.17  
Sex: Female  
Location: Vermont  
Vaccinated:2007-04-19
Onset:2007-04-20
   Days after vaccination:1
Submitted: 2007-05-23
   Days after onset:33
Entered: 2007-05-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B074AA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UF021AA / 1 LL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH BO8674B / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0726F / 1 MO / PO

Administered by: Unknown       Purchased by: Unknown
Symptoms:
SMQs:

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-04-20
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None.
Preexisting Conditions: None.
Allergies:
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Death. 6/12/07 Received Autopsy Report which reveal COD as Undetermined. Found unresponsive face down in bed between parents (anamnestic). No anomalies, trauma, infectious agents or metabolic anomalies detected. Toxicology revealed acetaminophen 6.5 mcg/mL; fluconazole + & caffeine. 6/25/07 Received vax record from pcp which confirms RO lot & dose # as reported.


VAERS ID: 279975 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Hampshire  
Vaccinated:2006-12-07
Onset:2007-01-01
   Days after vaccination:25
Submitted: 2007-05-30
   Days after onset:148
Entered: 2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B079BA / 1 LL / IM
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE917AA / 1 RL / IM
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH B08674D / 1 RL / IM
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0607F / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-01-01
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: bilateral hydroceles
Allergies:
Diagnostic Lab Data: None
CDC Split Type: NH0722

Write-up: Category II SIDS


VAERS ID: 279976 (history)  
Form: Version 1.0  
Age: 0.2  
Sex: Male  
Location: New Hampshire  
Vaccinated:2006-12-27
Onset:2007-01-15
   Days after vaccination:19
Submitted: 2007-05-30
   Days after onset:134
Entered: 2007-05-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAPHEPBIP: DTAP + HEPB + IPV (PEDIARIX) / GLAXOSMITHKLINE BIOLOGICALS AC21B073AA / 1 RL / -
HIBV: HIB (ACTHIB) / SANOFI PASTEUR UE916AB / 1 LL / -
PNC: PNEUMO (PREVNAR) / PFIZER/WYETH 8086918408 / 1 LL / -
RV5: ROTAVIRUS (ROTATEQ) / MERCK & CO. INC. 0577F / 1 MO / PO

Administered by: Private       Purchased by: Public
Symptoms: Sudden infant death syndrome
SMQs:, Neonatal disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2007-01-15
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: .3ml up to 4x/day 12/11/06 Simethicone 40mg/.6ml for gas
Current Illness: None
Preexisting Conditions: ?Lactose intolerance (according to mom, md note)
Allergies:
Diagnostic Lab Data: None
CDC Split Type: NH0723

Write-up: Category II SIDS


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